| NPI | 1043341167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: OR 3484) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3484) |
| 111N00000X Chiropractor (Licence: CA 18760) | |
| 111NR0200X Chiropractor, Radiology (Licence: CA 18760) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-09-14 |